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General NPI Number Information
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NPI Number | 1104805308
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Entity Type | Organization
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Legal Business Name | LOW VISION WORKS INC.
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3938 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-3622
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Country | US
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Telephone | 941-366-0011
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Fax | 941-957-0033
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Provider Business Mailing Address
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Address Line | 3938 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-3622
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Country | US
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Telephone | 941-366-0011
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Fax | 941-957-0033
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE VANDENDOOREN
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Credential | OTR/L
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Telephone | 941-366-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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